Jenny Matthews, LMFT, Ladc LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JENNY MATTHEWS, LMFT, LADC LLC

Practice address

7831 E Bush Lake Rd Ste 200H
Minneapolis, MN 55439-3164

Phone

(952) 529-4741

NPI assigned

Jun 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanette Matthews, LMFTNPI 1518354315

Title

Owner

Phone

(952) 529-4741

Specialties & licenses 1

Addresses

Other names 1

• State of Mind Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanette Nicole Matthews, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1518354315
  NPD Authorized official
• Justin Matthews, MA

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1750045787
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1386486363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 JERSEY RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382863",
            "telephone_number": "952-529-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 E BUSH LAKE RD STE 200H",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393164",
            "telephone_number": "952-529-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY MATTHEWS, LMFT, LADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-529-4741",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State of Mind Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Ann Jennings, LPN
• Jessica Ann Jennings, NP
• Karla Jean Jennings, LICSW
• Thordis Christine Jennings
• Gina Marie Jennissen, PHARM.D.
• Matthew Jenny, DMD
• Aric Michael Jensen, PH.D.
• Barbara Ann Jensen, M.A., L.P.
• Chelsey Jensen, PHARMD
• Cristy Rose Jensen, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.